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Nben prpmandre CawWr 4 am,,t, muJy ro am NIMamunrm i W. 41hallamot maP'amtraa urML.lffiJm+a <br />CONTRACTOR'S NONIOLLUSION AND NON -DEBARMENT AFFIDAVIT, <br />CERTIFICATION IIEGA6DING INVESLMENf WITR IRAN, EMPIAYMENT ELIGMMM <br />VERIFICATION,NON-DISCRIMINATION COMMITMENT AND CERT CATION OF USE <br />OF ED STATESSPEELPRODUCIfS OR FOUSDRV PRODUM <br />?� (Mmr be motWletd for au gmtesailads. Pleases Bfflrim) <br />STATE OF 1 <br />,�pST Sea' C'OIfNTY ASS: <br />ThemdmigcedCovlmn«. bdvgdWY swam ulurbiabaiw OAW. alfums mdard a pmaltic at"mury had: <br />1. Connactor has am, mar has any Abet mcabra romesmreYve. a agent of the Iona, <br />mmpwty, cmpomuon or parramahip ae mtOmtedby him, mbredturn my combumn, collusion <br />an agreement wild any pcnav rele0ve to We prism W bid by anyone at such letting nm to Parent <br />any pawn Rum bidding wn to bdoec erryone to refraW Rom bidding, and mar rhisbid u mere <br />withhdmferem many color bid Ad witlmutmy ag,amew. uurersmnding or eondum tat with <br />my abar, mason m wferenmm suck balding. Canty = [nether says boo no pera® or pvsays, <br />fnms, m carprmtian ban, h,,T at will receive dimutly ur immecdy, any mbuq fa, wk <br />cowmtssaov a Wm%of value on acoua u[ such ante; aN <br />2. Canummr ecnifihs by submission athis pmpwal der render cantmmn nor my of its <br />Jo <br />sul <br />anham ar,y excluded Bf,am pamicip ni' tma annommnfby any Federal ddepartmenttoor agmc ; <br />and <br />3. Camaac bam. nor lus wry wucmaorm, nor an Affiliate of. Cmhachn, orwad in mvcamelt <br />adti "alvhan. <br />Fro ma, a Wia Cerlificmim.-Tmn'tnee® do grvwnmem of Inn and am agency Or <br />man,haenmly of tom. m as otbrjro a defined m Ind. Code S 5- 1455, On anmdd farm <br />rimeao-dme. <br />b. Aapmvidad by had. Cana §122-165F. as amedcd from t®rodima. a C(marmtor is <br />"'A at mvrammmr mdvideaw tam if®hmr. <br />i. ibmmexprimw¢RSarnmitsnRlliah.pmvil�Ca gamimie(vicaa o(fwensV NJlian <br />ibllms(SItl,Wgg00) m mOm m velne abemergysecrm of bare m <br />i, contractor' <br />iv suae.�rmiaaaffd®w,isafinmciel immudm War enmdalwmsy <br />million dolUu(SL1,d0A.rgrl orvmrem edit mamWapeum le fatly -five (451 <br />dery or moat, if War pawn will (i) use the crd4u) pmvubs goads mdsaa'iaa w <br />We cn� aamrw ban: ul 010dheumelbaoa �c•TmnnMof AdmwiauarcWt.Or <br />4. (.'aplwC(Or does on, I amamply employ m maract wirh an uvutlwrved lien, nor retain <br />any mo qO, a cmdamr with a aman than the Convector subsequewly lemons u an umwhor' <br />vmwm W1,140Pn Pa3e-3 PUW,WmvCww <br />